02 December 2025 : Original article
Functional Shunt with Small-for-Size Graft in Auxiliary Liver Transplantation for Portal Hypertension
Wei Qu ABCDEG 1, Ying Liu ABCDE 2, Ru-Zhou Cai ABCDEF 1, Zhi-Jun Zhu ACDEFG 1*, Li-Ying Sun ACDE 2, Lin Wei
ACDE 1, Zhi-Gui Zeng ABCD 1
DOI: 10.12659/AOT.950430
Ann Transplant 2025; 30:e950430
Table 2 Intraoperative and follow-up data of the patients who underwent functional shunt.
| Case | Graft type | Graft weight (g) | GRWR (%) | Graft volume* | Intra operative PVP (mmHg) | PV modulation | Post-modulation PVP (mmHg) | WIT (min) | CIT (min) | Operation time (h) | Blood perfusion (ml) | Outcome | Complications |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Left liver (without MHV) | 448 | 0.52 | 1162 | 16 | Splenic artery ligation | 13 | 5 | 152 | 9 | RBC 800; FFP 1200 | Survived | Biliary stricture, improved after stent implantation |
| 2 | Left lateral lobe | 408 | 0.54 | 1069 | 12 | – | – | 5 | 52 | 8 | RBC 1200 | Survived | Outflow obstruction, treated with stent implantation |
| 3 | Left lateral lobe | 360 | 0.46 | 884 | 14 | – | – | 3 | 103 | 11 | RBC 1200 | Survived | Outflow obstruction, treated with stent implantation |
| 4 | Left lateral lobe | 349 | 0.48 | 1476 | 15 | – | – | 5 | 114 | 12 | RBC 400 | Survived | Bile leak, recovered after puncture and drainage |
| 5 | Left liver (without MHV) | 408 | 0.54 | 1356 | 13 | – | – | 3 | 375 | 11.5 | RBC 1800; FFP 1800 | Survived | None |
| 6 | Left liver (with MHV) | 405 | 0.55 | 995 | 17 | Partial splenectomy | 12 | 5 | 86 | 10 | RBC 700; FFP 200 | Survived | None |
| * 3 months after liver transplantation. CIT – cold ischemic time; FFP – fresh frozen plasma; GRWR – graft-to-recipient weight ratio; MHV – middle hepatic vein; PVP – portal vein pressure; RBC – red blood cell; WIT – warm ischemic time. | |||||||||||||